Postural ergonomics and work-related musculoskeletal disorders in neurosurgery: lessons from an international survey

Mavrovounis, Georgios; Meling, Torstein R.; Lafuente, Jesús; Fountas, Konstantinos; Demetriades, Andreas K.

doi:10.1007/s00701-021-04722-5

Cited by 32 publications

(30 citation statements)

References 42 publications

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“…Mavrovounis et al showed even more concerning results after having interviewed 409 members of the “European Association of Neurosurgical Societies”, the “Neurosurgery Research Listserv” and the “Latin American Federation of Neurosurgical Societies” [ 26 ]. Out of the 409 members, 87.9% had experienced WMSDs most commonly described as neck and shoulder pain.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a Novel Three-Dimensional Robotic Digital Microscope (Aeos) in Neurosurgery

Maurer

Prinz

Qasem

et al. 2021

Cancers

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Objective: Current literature debates the role of newly developed three-dimensional (3D) Exoscopes in the daily routine of neurosurgical practice. So far, only a small number of cadaver lab studies or case reports have examined the novel Aesculap Aeos Three-Dimensional Robotic Digital Microscope. This study aims to evaluate the grade of satisfaction and intraoperative handling of this novel system in neurosurgery. Methods: Nineteen neurosurgical procedures (12 cranial, 6 spinal and 1 peripheral nerve) performed over 9 weeks using the Aeos were analyzed. Ten neurosurgeons of varying levels of training were included after undergoing device instruction and training. Following every surgery, a questionnaire consisting of 43 items concerning intraoperative handling was completed. The questionnaires were analyzed using descriptive statistics. Results: No intraoperative complications occurred. Surgical satisfaction was ranked high (78.95%). In total, 84.21% evaluated surgical ergonomics as satisfactory, while 78.95% of the surgeons would like to use this system frequently. Image quality, independent working zoom function and depth of field were perceived as suboptimal by several neurosurgeons. Conclusion: The use of Aeos is feasible and safe in microsurgical procedures, and surgical satisfaction was ranked high among most neurosurgeons in our study. The system might offer advanced ergonomic conditions in comparison to conventional ocular-based microscopes.

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Section: Discussionmentioning

confidence: 99%

Evaluation of a Novel Three-Dimensional Robotic Digital Microscope (Aeos) in Neurosurgery

Maurer

Prinz

Qasem

et al. 2021

Cancers

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“…According to the two studies, the female gender was associated with a higher risk of severe WMSDs (OR 3.35; P < 0.001 [2] and OR 2.443; P = 0.018) (Table 2) [23]. In contrast, five studies in the specialties of vascular surgery, neurosurgery, and gastroenterology reported no statistical difference in the likelihood or the prevalence of WMSDs between genders [21,[26][27][28][29]. However, of these five studies, Pawa et al did comment that women reported a statistically higher mean number of endoscopic-related injuries (ERI) compared to men (5.9 vs. 5.3; P < 0.001) [21].…”

Section: Reports Of Wmsdsmentioning

confidence: 96%

“…In the full-text screening, articles were searched for the words: female, woman, women, sex, and gender to identify if gender demographics were collected from the respondents. After applying exclusion criteria, eleven studies remained which met eligibility criteria established by the authors [2,3,[21][22][23][24][25][26][27][28][29]. These articles contained reports of female physician WMSDs in interventional and fluoroscopic specialties.…”

Section: Study Selectionmentioning

confidence: 99%

“…The average percentage of female physician respondents from these studies was 25.7% (Table 1) [2,3,[21][22][23][24][25][26][27][28][29]. In one study, Orme et al distributed a survey among the Mayo Clinic IR and interventional cardiology (IC) facilities to address radiation exposure and WMSDs among their medical staff, including nurses, technicians, residents, fellows, and attendings [3].…”

Section: Female Physician Representation and Characteristicsmentioning

confidence: 99%

“…Self-reported physical discomfort among all respondents averaged at 72.4%, and the locations of WMSDs were most often reported in the lumbar spine, cervical spine, shoulder, and hands (Table 3) [2,3,[21][22][23][24][25][26][27][28][29]. In Table 4, mean percentages of the areas described in this review were lumbar spine (47.2%), cervical spine (44.6%), shoulder (42%), arm and elbow (14.7%), wrist (34.2%), thumb (30%), and hand and fingers (55.3%) [2,21,[23][24][25][26][27][28][29]. In six studies, the rate of female-reported pain was 72% compared to 46.6% for males (Table 3) [3,[22][23][24][25]28].…”

Section: Reports Of Wmsdsmentioning

confidence: 99%

See 2 more Smart Citations

Ergonomics and Work-Related Musculoskeletal Disorders: Characteristics Among Female Interventionists

Barnard¹,

Sheaffer²,

Hampton³

et al. 2021

Cureus

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Interventional radiology is a procedural specialty that performs minimally invasive operations under image guidance. Currently, there are inadequate ergonomic protocols for work-related musculoskeletal disorder (WMSD) prevention in interventional radiology (IR), and there is a paucity of information discerning gender differences in WMSDs. This article reviews current literature that addresses WMSDs in female physicians practicing interventional and fluoroscopic procedures, including interventional radiology, interventional cardiology, electrophysiology, vascular surgery, orthopedic surgery, neurosurgery, and gastroenterology. We searched PubMed and EBSCOhost databases for ergonomic studies that reported female physician WMSDs in the specialties listed above. After a thorough evaluation for inclusion based on eligibility criteria, 11 studies were included. From this search, there was poor female representation, averaging 25.7% of respondents. Several characteristics identified across the studies were that women were generally shorter, wore smaller glove sizes, and were younger than their male colleagues. Seventy-two percent of female proceduralists reported WMSDs versus 46.6% of their male colleagues. Additionally, women may experience more upper extremity pain than lumbar pain, which men commonly reported. Potential contributing factors to WMSDs are the size and design of procedural tools and the possible predisposition of female physicians to experience upper extremity WMSDs while performing the same operations as men. As more women enter medicine and pursue careers in procedural fields like interventional radiology, it is essential to address these discrepancies and develop ergonomically sound solutions for women.

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Work‐Related Musculoskeletal Disorders in Endoscopic Sinus and Skull Base Surgery: A Systematic Review With Meta‐analysis

Campbell,

Zadro,

Gamble

et al. 2024

Otolaryngol.--head neck surg.

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ObjectiveEndoscopic sinus and skull base surgery has led to significant improvements in patient outcomes, yet may have come at a cost to surgeons' musculoskeletal (MSK) health. We aimed to determine the prevalence and characteristics of work‐related MSK disorders (WRMDs) in endoscopic sinus and skull base surgeons; to investigate contributing factors for WRMD in this population; and to evaluate the effectiveness of ergonomic interventions on the severity or prevalence of WRMD in this population.Data SourcesMedline, Embase, CINAHL, Web of Science, and Scopus from inception to April 2, 2024. A bibliographic examination was performed for further papers.Review MethodsInclusion criteria included original peer‐reviewed papers with work‐related MSK outcomes (prevalence, contributing factors, and interventions) relating to endoscopic sinus and/or skull base surgeons in any language.ResultsOf 25,772 unique citations, 37 studies met the inclusion criteria. The pooled lifetime, point, and 12‐month prevalences of WRMD were 75.9% (95% confidence interval; I2, 67.2%‐83.6%, I2 95.6%), 80.8% (77.0%‐84.3%, I2 98.0%), and 82.0% (71.8%‐90.3%, I2 60.96%) respectively. The neck, lumbar spine, and thoracic spine were the most commonly involved areas. One of 9 studies on contributing factors investigated discomfort as an outcome. The remainder focussed on surrogate outcomes (eg, posture, hand dysfunction). Two of the 13 intervention studies investigated pain or fatigue as an outcome. The remainder targeted posture, muscle activity, or workload.ConclusionWRMDs are highly prevalent in endoscopic sinus and skull base surgeons. Further studies focusing on the direct outcomes of WRMD such as pain are needed.

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Postural ergonomics and work-related musculoskeletal disorders in neurosurgery: lessons from an international survey

Cited by 32 publications

References 42 publications

Evaluation of a Novel Three-Dimensional Robotic Digital Microscope (Aeos) in Neurosurgery

Evaluation of a Novel Three-Dimensional Robotic Digital Microscope (Aeos) in Neurosurgery

Ergonomics and Work-Related Musculoskeletal Disorders: Characteristics Among Female Interventionists

Work‐Related Musculoskeletal Disorders in Endoscopic Sinus and Skull Base Surgery: A Systematic Review With Meta‐analysis

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